COASTAL CARE CORPORATION (NPI# 1396252821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396252821 |
| Entity Type | Organization |
| Organization Name | COASTAL CARE CORPORATION |
| Other Organization Name | MARTIN HEALTH SYSTEM DIAGNOSTIC SERVICES |
| Practice Address |
625 Se Riverside Dr Stuart FL 34994-2502 |
| Mailing Address |
Po Box 9033 Stuart FL 34995-9033 |
| Practice Telephone | 7722212002 |
| Mailing Telephone | 7722234903 |
| Mailing Fax Number | 7722235622 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | ROBERT LESTER LORD (PRESIDENT, CEO) |
| Authorized Official Telephone | 7722235945 |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Martin Health System Diagnostic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801129747 | Coastal Care Corporation | Clinic/Center | 1651 Se Tiffany Ave Ste 100, Port St Lucie, FL 34952-7564 | 2009-09-10 |
| 1629097076 | Coastal Care Corporation | Non-emergency Medical Transport (VAN) | 2150 Se Salerno Rd, Stuart, FL 34997-6572 | 2006-07-18 |
| 1366469975 | Coastal Care Corporation | Clinic/Center | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2006-07-17 |
| 1578598793 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2006-07-12 |
| 1831168533 | Coastal Care Corporation | Clinic/Center | 3801 S Kanner Hwy Ste 102, Stuart, FL 34994-4801 | 2006-03-15 |
| 1821147059 | Coastal Care Corporation | Family Medicine | 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 | 2007-01-09 |
| 1194873018 | Coastal Care Corporation | Family Medicine | 11600 Se Federal Hwy, Hobe Sound, FL 33455-5213 | 2007-01-08 |
| 1568510618 | Coastal Care Corporation | Family Medicine | 3066 Sw Martin Downs Blvd, Unit 6 Ste B, Palm City, FL 34990-2683 | 2007-01-08 |
| 1609989391 | Coastal Care Corporation | Clinic/Center | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2006-08-16 |
| 1316966336 | Coastal Care Corporation | Clinic/Center | 509 Se Riverside Dr, Stuart, FL 34994-2579 | 2006-07-19 |
| Street Address |
625 SE RIVERSIDE DR |
| City | STUART |
| State | FL |
| Zip Code | 34994-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578598793 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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|---|---|---|---|---|
| 1437770450 | Mobile Medical Scanner LLC | Clinic/Center | 3911 Sw 47th Ave Ste 901, Davie, FL 33314-2818 | 2020-04-30 |
| 1164078937 | Des Mobile Diagnostics Imaging Inc | Clinic/Center | 10820 W Old Cutler Rd, Miami, FL 33170-6551 | 2019-08-16 |
| 1093278467 | America Diagnostic Inc | Clinic/Center | 100 E Linton Blvd Ste 204a, Delray Beach, FL 33483-3336 | 2019-04-11 |
| 1770066359 | S&s Life Scan Corp | Clinic/Center | 1118 Nw 124th Ct # 1118, Miami, FL 33182-2447 | 2018-09-10 |
| 1174017743 | National Medical Providers LLC | Clinic/Center | 11564 Puerto Blvd, Boynton Beach, FL 33437-4028 | 2018-06-18 |
| 1043720022 | Patient First Diagnostics | Clinic/Center | 575 Ne 5th Ter Apt 753, Fort Lauderdale, FL 33301-2170 | 2017-10-04 |
| 1922537489 | Portable Ultrasound Services Inc | Clinic/Center | 11021 Sw 44 Street, Miami, FL 33165 | 2017-06-08 |
| 1003343740 | Qualis Diagnostics LLC | Clinic/Center | 1900 N Bayshore Dr Ste 1a162, Miami, FL 33132-3001 | 2017-05-12 |
| 1114468402 | Navarro Mobile Imaging Corp. | Clinic/Center | 100 Bayview Drive, Apartment :211, Sunny Isles Beach, FL 33160-4781 | 2017-03-20 |
| 1760932727 | Ultra-dx, Inc | Clinic/Center | 222 Andalusia Dr, Palm Beach Gardens, FL 33418-1736 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.